Individual
MARY CLAIRE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 668-1069
Mailing address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311043-01
NY
Other
Enumeration date
11/07/2022
Last updated
10/31/2024
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